3GU-48994-21174

1 vaccination 9 coded responses 9 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 402 / KY
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-08
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — day 7, dose 1
MedDRA: Urticaria — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Whelps head to tor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — day 14, dose 1
MedDRA: Fatigue, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash is continuing to extend and I am experiencing fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — day 21, dose 1
MedDRA: Contusion, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My rash continues to worsen and now Im getting bruises all over my limbs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 28, dose 1
MedDRA: Contusion, Medical counselling, Office visit, Rash, Self-medication, Steroid activity, Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I developed hives and a rash from my neck down to mid calf. I received a steroid injection and Benadry on day 2. I have continued with the antihistamine since with zero relief. I now have large bruises everywhere. · Healthcare visit (other): Dr.'s Clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 35, dose 1
MedDRA: Contusion, Rash, Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I now have hives and a rash from my neck to calves. I also am now covered in bruises. No amount of antihistamines are having any effect.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 42, dose 1
MedDRA: Office visit, Rash, Skin texture abnormal — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash is continuing to spread to other areas leaving my skin to have a pebble Like texture. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — 3 months, dose 1
MedDRA: Headache, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headaches and muscle tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Call 1 — Left Voicemail
2021-07-10
Survey response — 6 months, dose 1
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-08
Survey response — 12 months, dose 1
MedDRA: Productive cough — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Constant productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-10
Call 1 — Could Not Reach Participant
2022-01-10
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 8

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Whelps head to tor

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Rash is continuing to extend and I am experiencing fatigue.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: My rash continues to worsen and now Im getting bruises all over my limbs.

Release 4 — day 28, dose 1

2021-02-11

Symptoms: I developed hives and a rash from my neck down to mid calf. I received a steroid injection and Benadry on day 2. I have continued with the antihistamine since with zero relief. I now have large bruises everywhere.

Healthcare visit (other): Dr.'s Clinic

Release 4 — day 35, dose 1

2021-02-12

Symptoms: I now have hives and a rash from my neck to calves. I also am now covered in bruises. No amount of antihistamines are having any effect.

Release 4 — day 42, dose 1

2021-02-20

Symptoms: Rash is continuing to spread to other areas leaving my skin to have a pebble Like texture.

Healthcare visit (other): Doctors office

Release 7 — 3 months, dose 1

2021-04-09

Symptoms: Headaches and muscle tenderness.

Release 9 — 6 months, dose 1

2021-07-10

Symptoms: Burning chest pain

Release 10 — 12 months, dose 1

2022-01-08

Symptoms: Constant productive cough

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Medical counselling	○	✓	○
HCVO	Office visit	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	·	✓
SD	Skin texture abnormal	✓	✓	✓
SD	Steroid activity	○	✓	○
SD	Urticaria	✓	✓	✓
SRO	Urticaria	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release